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Centre for Policy on Ageing | |
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Demented versus non-demented very old inpatients
— the same comorbidities but poorer functional and nutritional status | | Author(s) | Dina Zekry, François R Herrmann, Raphael Grandjean |
| Journal title | Age and Ageing, vol 37, no 1, January 2008 |
| Pages | pp 83-89 |
| Source | http://www.ageing.oupjournals.org |
| Keywords | Dementia ; In-patients ; Obesity ; Self care capacity ; Chronic illness ; Evaluation ; Switzerland. |
| Annotation | In this prospective study of very old inpatients, demented patients, non-demented patients, and patients with MCI had similar levels of comorbidity. However, demented patients had poorer functional and nutritional status. Health was poorest in those with vascular dementia (VaD). This study was carried out in the Rehabilitation and Geriatric Hospital (HOGER) of Geneva University. Subjects were 340 patients (mean age 85.2; 76% women): 161 were cognitively normal (46.1%), 37 with MCI (10.6%), and 151 were demented (43%). 61 had Alzheimer's disease (AD), 62 mixed dementias (MD), and 17 VaD. Activities of daily living (ADL), instrumental ADL (IADL), FIM and MNA scores on admission decreased with cognitive status, regardless of type of dementia. Functionality at discharge remained significantly lower in demented patients than in other patients. Those with VaD had poorer health than other patients, with a higher than average comorbidity score, more frequent hypertension, stroke and hyperlipidaemia. Special efforts should be made to deal with existing comorbidities and to detect unreported problems in demented patients. Improvements in the detection and treatment of comorbid diseases should improve outcomes for these patients. (RH). |
| Accession Number | CPA-080304205 A |
| Classmark | EA: LF7: CSA: CA: CI: 4C: 76C |
Data © Centre for Policy on Ageing |
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| ...from the Ageinfo database published by Centre for Policy on Ageing. |
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